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预激综合征的房室旁道定位
引用本文:杜日映,张利华,郑强荪,郑建雄,蔡振杰. 预激综合征的房室旁道定位[J]. 中国心脏起搏与心电生理杂志, 1993, 0(1)
作者姓名:杜日映  张利华  郑强荪  郑建雄  蔡振杰
作者单位:第四军医大学唐都医院心内科,第四军医大学唐都医院心内科,第四军医大学唐都医院心内科,第四军医大学唐都医院心内科,第四军医大学唐都医院心外科 西安 710038,西安 710038,西安 710038,西安 710038
摘    要:根据国外旁道定位标准结合自己经验绘出心电图导联与房室环平面关系示意图对48例预激综合征房室旁道进行定位:左侧游离壁25例(52.1%),左后游离壁7例(14.6%),后间隔7例(14.6%),前间隔6例(12.5%),右游离壁0例,双旁道3例(6.3%)。手术治疗19例,其中单旁道17例,双旁道2例,共计21条旁道;除1条靠近希氏束的前间隔旁道未切断外,20条旁道均被切断,手术总成功率为95.2%,其中左游离壁旁道(15条)均被切断,成功率为100%。手术结果说明本方法定位简单、精确度较高。

关 键 词:预激综合征  房室旁道  心电图  电生理检查  标测

Location of Accessory Atrioventricular Pathways of the Wolff-Parkinson-White Syndrome
Du Riying,Zhang Lihua,Zheng Qiangsun,et al. Location of Accessory Atrioventricular Pathways of the Wolff-Parkinson-White Syndrome[J]. Chinese Journal of Cardiac Pacing and Electrophysiology, 1993, 0(1)
Authors:Du Riying  Zhang Lihua  Zheng Qiangsun  et al
Abstract:The results of location of accessory atrioventricular pathways in 48 patients with the Wolff-Parkinson-White syndrome were reported. Left lateral free wall pathways were found in 25(52. 1%) patients, left posterior wall pathways in 7(14. 6%), left posteroseptal pathways.in 7(14. 6%), anteroseptal pathways in 6(12. 5%). No case had a right free wall pathway and 3(6. 3%) had double pathways. 19 patients were treated surgically.who was 17 with a single pathway and 2 with double pathways. They had a total of 21 pathways.which all were divided successfully except 1 anteroseptal pathway being quite near to the His bundle. The total rate of successful surgery was 95. 2%(20/21) and it in free wall pathways was 100%(15/15), it showed we had high accuracy in location of accessory atrioventricular pathways.
Keywords:Wolff-Parkinson-White syndrome  Accessory atrioventricular pathway  Electrocardiogram  Electrophysiology  Mapping  
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